开发一个长期护理服务整合自我评估工具
Yu-Chien Chang1, Shu-Ching Chang2, Kuo-Piao Chung1
1Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
Journal of interprofessional care
|July 15, 2024
概括
这项研究开发了长期护理服务整合自我评估 (SASI-LTC) 工具. SASI-LTC使长期护理机构能够评估其综合护理服务,这对台湾至关重要.
科学领域:
- 老年学和公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 台湾面临人口快速老龄化,需要综合长期护理 (LTC).
- 现有的LTC服务机构缺乏评估其整合水平的工具.
- 台湾政府于2016年实施了长期护理计划2.0 (TLTCP 2.0) 旨在增强基于社区的综合LTC.
研究的目的:
- 开发一个可靠和有效的评估工具来评估LTC服务的整合.
- 为了使LTC机构能够自我评估其在多个维度上的整合能力.
主要方法:
- 基于Evashwick的框架,开发基于长期护理 (SASI-LTC) 服务整合自我评估工具.
- 两轮Delphi专家小组 (26名专家) 和一项试点研究,涉及243名管理人员.
- 使用中位数,SCVI和ICVI评估内容有效性;可靠性和有效性通过Cronbach的alpha和确认因素分析得到确认.
主要成果:
- 该工具包括四个领域和三十个项目,涵盖组织,协调,资源和信息系统.
- 德尔菲专家在内容有效性方面达成高度一致.
- 试点测试显示出良好的可靠性 (克朗巴赫的α = 0.94) 和有效性,具有强大的模型匹配指数.
结论:
- 对于台湾LTC机构来说,SASI-LTC是一个可行的和有效的工具,用于评估服务集成.
- 该工具可以适应在其他国家使用,并可能针对金融一体化方面进行本地化.
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